Hello and welcome to Healthcare Magic. Thanks for your query. Premature ejaculation can be due to different causes - medical and psychological. Now, the first step in management of this problem is a proper evaluation. This will include a detailed medical, sexual, personal and social history, a thorough physical examination and certain investigations, as per the necessity. Only if the cause is identified correctly, appropriate treatment can be given. Very often the cause is due to excessive anxiety and fear regarding sexual performance (what is called performance anxiety ). To increase the ejaculation time, you can try practicing certain exercises like Kegel s exercises or techniques like the Masters and Johnson technique. Alternatively, there are medication available which can help delay ejaculation time. So, if this problem is very distressing, I would suggest that you consult a doctor for further help and treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.) Consultant Psychiatrist